[Hematobilia--a rare complication after traumatic liver rupture].
Hematobilia is a rare complication after traumatic liver injury and has a high mortality. Clinical signs are hyperbilirubinemia and increase of bile acids in serum by rarely increased liver enzymes. Pathophysiologically there is a connection between bile duct system and liver veins. To determine the diagnosis giving rise to the clinical signs, after abdominal ultrasonography and computed tomography the ERCP seems to be the most suitable method. The treatment of hematobilia is not necessarily operative; a successful conservative therapy is also possible.
Reimund
K P
KP
Klinik und Poliklinik für Allgemein- und Abdominalchirurgie, Johannes Gutenberg-Universität Mainz.
Weis
C
C
Brückner
R
R
Junginger
T
T
D000328:Adult; D000469:Alkaline Phosphatase / Q000097:blood; D001663:Bilirubin / Q000097:blood*; D002760:Cholangiopancreatography, Endoscopic Retrograde; D002780:Cholestasis, Intrahepatic / Q000175:diagnosis / Q000000981:diagnostic imaging; D003937:Diagnosis, Differential; D006431:Hemobilia / Q000175:diagnosis* / Q000209:etiology; D006801:Humans; D008099:Liver / Q000293:injuries*; D008297:Male; D012421:Rupture; D014057:Tomography, X-Ray Computed
D000469:Alkaline Phosphatase; D001663:Bilirubin
Die Bilhämie--Eine seltene Komplikation nach schwerster Leberruptur.